Skip to main content

Home/ General Aviation/ Group items tagged naltrexone

Rss Feed Group items tagged

anonymous

A Different Path to Fighting Addiction - NYTimes.com - 0 views

  • The psychologists also support the use of anti-craving medications like naltrexone, which block the brain’s ability to release endorphins and the high of using the substance.
  • A 2002 study conducted by researchers at the University of New Mexico and published in the journal Addiction showed that motivational interviewing, cognitive behavioral therapy and naltrexone, which are often used together, are far more effective in stopping or reducing drug and alcohol use than the faith-and-abstinence-based model of A.A. and other “TSF” — for 12-step facilitation — programs.
  • Researchers elsewhere have come up with similar findings. In 2006, the Cochrane Library, a health care research group, reviewed four decades of global alcohol treatment studies and concluded, “No experimental studies unequivocally demonstrated the effectiveness of AA or TSF approaches for reducing alcohol dependence or problems.” Despite that research, A.A.’s 12-step model is by far the dominant approach to addiction in America.
  • ...8 more annotations...
  • lifelong abstinence and adherence to the 12 steps mapped out in the Big Book, published four years after the organization was founded in 1935.
  • relies heavily on faith; God is mentioned in five of the 12 steps.
  • Instead of addict or alcoholic, she prefers the terms favored by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, or the DSM-V, which says that patients suffer from “alcohol use disorder” or “substance abuse disorder,” terms that convey a spectrum of severity.
  • “Substance use takes on a lot of different shapes and sizes,” Dr. Kosanke said. “There are real downsides to labeling a child with a lifetime identity, when that truly may or may not turn out to be the case.”
  • “We don’t have a judgment on how you address your substance use problem. Maybe A.A. is helpful to you and you find everything you need there. If it’s not, we genuinely believe there are many strategies for helping to resolve them.”
  • Stanton Peele, a Brooklyn psychologist who has studied substance use for decades and is a longtime critic of the A.A. model.
  • That approach runs through the book she wrote with Dr. Foote and Dr. Kosanke, “Beyond Addiction: How Science and Kindness Can Help People Change.”
  • “She’s not a problem to be solved, but a child to be loved and guided toward a better life.”
  •  
    Gabrielle Glaser's NYT article, July 3, 2014
anonymous

A Prescription to End Drinking - WSJ - 0 views

  • prompting addiction experts to make a push for using medications to help people quit or cut down on excessive drinking.
  • As a result, experts say, the most effective treatments are highly individualized.
  • The Food and Drug Administration has approved three prescription drugs to treat alcohol problems. But they are seldom used, largely because 12-step programs have dominated the treatment field, NIAAA experts say.
  • ...4 more annotations...
  • neurobiologist George Koob, director of the National Institute on Alcohol Abuse and Alcoholism (NIAAA), which is leading the effort to bring new, evidence-based treatments to more people.
  • “We not only use it, we encourage it. If there’s something that can improve your chances of recovery, all the better,” says Joseph Lee, medical director for youth at the Hazelden Betty Ford Foundation, which uses naltrexone and acamprosate.
  • newer behavioral treatments try to empower patients instead, and focus on developing skills to stay sober.
  • “Over the last 25 to 30 years, much of the neurocircuitry of addiction has been identified,” opening up new targets for interventions, says David Goldman, chief of the NIAAA’s neurogenetics lab
  •  
    A Prescription to End Drinking Data on Medicine for Alcohol Disorders Pushes Doctors Beyond 12-Step Programs -- **Also see Melinda Beck's radio interview on same page**
anonymous

Psychiatrists Describe Trends in Medications to Treat Addiction: When Will the FAA List... - 0 views

  • More evidence that the FAA is misguided in their ‘one-size-fits-all’ approach in administering the HIMS (Human Intervention Motivation Study) program…
  • and stressed that “there is no ‘one-size fits-all’ treatment, … [and] efficacy of the treatments may vary from person to person.”
  • since drug addictions are very common disorders in both general and psychiatric patient populations, she hoped the session succeeded in “conveying some important messages about the treatment of addiction” that psychiatrists could take home and use in their practices.
  • ...3 more annotations...
  • “Pharmacotherapies for AUD are highly underutilized. Only 8 percent of adults with AUD are currently being treated for the illness” with these medications, said Steven Batki, M.D., a professor of psychiatry at the University of California, San Francisco, who pointed out that there is no universal treatment that is as effective in all patients with AUD.
  • Though there are multiple pharmacotherapy options available to treat substance use disorders, some addiction experts maintain that these medications are often underutilized
  • these disorders are too seldom treated with pharmacotherapies approved by the Food and Drug Administration (FDA), some addiction experts maintain.
  •  
    Psychiatrists Describe Trends in Medications to Treat Addiction: When Will the FAA Listen?
1 - 3 of 3
Showing 20 items per page